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A suspicious vulvar mass diagnosed as a subpubic cartilaginous cyst
Patricia L Judson1, Joseph J Ivy, Pawel Zwolak
1Department of Obstetrics, Gynecology, Women's Health, Division of Gynecologic Oncology, University of Minnesota, 420 Delaware Street SE, MMC 395, Minneapolis, MN 55455, USA.
Background:
Subpubic cartilaginous cysts were initially described in 1996 with few reports to date.
Case:
We describe a 62-year-old woman with a history of breast cancer who presented with a painful, fixed, vulvar mass. MRI revealed an 18 x 10 x 12 mm3 mass extending from the anterior portion of the symphysis pubis without bony involvement. Excision was performed. Histologically, the mass consisted of fibrocartilage with extensive degenerative changes, compatible with a subpubic cartilaginous cyst. Over 24 months later, there has been no recurrence.
Conclusion:
Subpubic cartilaginous cyst is a rare, benign lesion occurring on the vulva and should be considered in the differential diagnosis of a painful, superior vulvar mass.
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